Clinical Workflow Lead - Home Therapies

Leads the design, standardization, implementation, and optimization of home dialysis workflows within the enterprise EHR transformation program, including Peritoneal Dialysis (PD) and Home Hemodialysis (HHD). Responsible for translating home therapy operations, patient training, remote monitoring, regulatory requirements, clinical best practices, and enterprise value objectives into scalable EHR workflows that support safe, efficient, and compliant care delivery. Partners with operational, clinical, and program leadership to ensure workflow and technology designs align with targeted business case value drivers, including home modality growth, improved patient outcomes, enhanced patient and caregiver experience, reduced documentation burden, workforce efficiency, value-based care performance, and long-term organizational sustainability. Establishes the workflow and data foundations required to enable advanced analytics, remote patient monitoring, and AI-enabled care delivery throughout planning, implementation, go-live, and post-deployment optimization phases.

·       Serve as the enterprise owner and lead designer for home dialysis workflows, including Peritoneal Dialysis (PD) and Home Hemodialysis (HHD), ensuring standardized and scalable processes across all home therapy programs.

·       Lead current-state assessment and future-state workflow design for all aspects of home therapy operations, including modality education, patient onboarding, training, competency validation, home visits, remote monitoring, telehealth, and ongoing patient management.

·       Define end-to-end workflows supporting transitions between in-center dialysis, home dialysis, PD, and HHD, including hospitalization recovery and technique failure scenarios.

·       Design and optimize documentation workflows for home visits, remote monitoring, telehealth encounters, patient self-monitoring, and home-based care coordination.

·       Define end-to-end workflows supporting transitions between in-center dialysis, home dialysis, PD, and HHD, including hospitalization recovery and technique failure scenarios.

·       Establish standards for integration and capture of cycler, home hemodialysis machine, remote monitoring, blood pressure, weight, and treatment data directly within the EHR.

·       Partner with clinical, operational, informatics, technical, and vendor teams to design workflows supporting mobile documentation, offline charting, connectivity management, and data integrity.

·       Ensure home therapy workflows comply with CMS Conditions for Coverage, regulatory documentation requirements, quality measures, and interdisciplinary care planning standards.

·       Lead design and governance of home dialysis adequacy monitoring, water quality testing, equipment maintenance tracking, infection monitoring, and emergency preparedness processes.

·       Develop workflows supporting supply ordering, inventory management, prescription-driven supply changes, equipment tracking, and home program logistics.

·       Design and oversee escalation pathways for peritonitis, access infections, technique failure, hospitalization, unplanned clinical events, and transitions back to in-center care.

·       Facilitate workflow design sessions with home dialysis nurses, program managers, physicians, and operational leaders to develop scalable enterprise-wide standards.

·       Partner with clinical, operational, analytics, and digital innovation teams to define and operationalize AI-enabled workflows, ensuring emerging technologies are thoughtfully incorporated into remote patient monitoring, risk identification, clinical decision support, patient engagement, and care coordination processes while maintaining safety, compliance, and clinician adoption.

·       Lead testing and validation efforts for home therapy workflows, mobile solutions, offline documentation, device integrations, data conversion, and remote patient management scenarios.

·       Support deployment readiness through home program assessments, super-user preparation, virtual go-live support models, and command center activities.

·       Monitor adoption, documentation quality, device connectivity, treatment data capture, home program performance, and workflow effectiveness through implementation and stabilization phases.

·       Drive continuous optimization and governance of home dialysis content, workflows, device integrations, and clinical practices while reducing documentation burden for mobile and remote care teams.

·       Partner with clinical, operational, informatics, technical, analytics, and executive stakeholders to drive successful implementation, adoption, value realization, and sustainment of the enterprise EHR platform.

PURPOSE AND SCOPE:

Provides direction, leadership, strategic vision, objectives and guidance regarding EHR design and operational process improvement opportunities related to clinical workflows, clinical Informatics, government initiatives, process reengineering and clinical safety. Ensures the appropriate alignment of department goals with those of the company, and takes the necessary actions to ensure the successful execution of initiatives to support these goals and the needs of the company.  Integrates clinical science, computer science, and information science to manage and communicate data, information, and knowledge in clinical practices. Facilitates the integration of data, information, and knowledge to support patient and clinicians in their decision-making in all roles and settings. Uses a structured problem-solving method to identify and clarify issues and select, develop, implement, and evaluate informatics solutions.

PRINCIPAL RESPONSIBILITIES AND DUTIES:

·       Uses a structured problem-solving method to optimize clinical systems and select, develop, implement, and evaluate informatics solutions. 

·       Analyzes and maps clinical workflows to evaluate efficiency, usability, and data integrity. Identifies and implements any opportunities for improvement and creates optimal workflow designs in harmony with policies, procedures and best-practices.   

·       Creates, designs and maintains clinical process & workflow documentation and serves as a content expert.

·       Initiates, develops, seeks intra and interdepartmental approvals, deploys and evaluates company-wide clinical practice standards, policies, procedures, forms and guidance documents. Participates in the development of or develops clinical training and educational materials

·       Works as a change agent for organizational leadership and clinicians, implements and direct processes to ensure maximum performance and benefit from the clinical information systems.

·       Conducts site visits to review and evaluate clinical practice as necessary.

·       Participates and leads committees and task forces as appropriate.

·       Manages the activities & operations of the Clinical Informatics Department. Establishes and assures adherence to budgets, schedules, work plans, and performance requirements. Delegates assignments to subordinates when appropriate.

·       Leverages knowledge from clinical and Informatics experience to develop, troubleshoot, and improve clinical systems that are beneficial in helping the organization to provide enhanced quality of patient care and handles unforeseen issues with tactical execution.

·       Serves as liaison between the organization and physicians regarding requests, questions or concerns and collaborates with the medical office to develop new clinical procedures based on new technologies or new innovations.

·       Provides senior level project management and team facilitation support to process improvement and utilizes the project life-cycle to plan, implement, monitor and sustain associated improvements.

·       Regularly interacts with senior management or executive levels. Develops and makes formal presentations to diverse audiences at various levels within and outside the organization.

·       Role will be reporting into transformation organization and will partner with Information Technology management, and closely work closely with business operational improvement team.

·       Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations.  See applicable addendum for department or location specific functions. 

PHYSICAL DEMANDS AND WORKING CONDITIONS:

·       The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

·       Day to day work includes desk and personal computer work, interaction with patients, field and corporate staff and physicians. The position requires travel for clinical assessment and problem solving as well as presentations at Company-wide, Corporate, Division, Regional or Area Meetings as appropriate.

·       The work environment is characteristic of both a health care facility and office environment with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.

SUPERVISION:

·       Responsible for the direct supervision of various levels of clinical quality and/or administrative support staff.

EDUCATION:

·       Required: Bachelor's or higher degree in nursing or related clinical field.

·       Preferred: Master's degree in Informatics, public health or related Healthcare discipline. This requirement can be waived in favor of extensive experience in clinical systems implementation/optimization.

EXPERIENCE AND REQUIRED SKILLS:         

·       6+ years' experience in design, development and implementation of electronic health records with experience in dialysis will be highly valued

·       2-4 years of patient care experience

·       3+ years of management experience preferred

·       Possesses strong influencing, collaboration and relationship-building skills

·       Demonstrates knowledge and experience in patient care environments and in-depth knowledge of clinical processes and clinical workflows associated with patient care

·       Excellent written and verbal communication skills

·       Exemplary customer service

·       Skilled level knowledge of Microsoft office suite

·       Knowledge of project management and systems life

 The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

If your location allows for pay/benefit transparency, please click the link below to request further information on this position.   Pay Transparency Request Form

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors